Provider Demographics
NPI:1447013537
Name:BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Entity type:Organization
Organization Name:BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-292-0744
Mailing Address - Street 1:PO BOX 162088
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-2088
Mailing Address - Country:US
Mailing Address - Phone:888-292-0744
Mailing Address - Fax:800-269-5493
Practice Address - Street 1:4740 VICTORY LN STE C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-6076
Practice Address - Country:US
Practice Address - Phone:888-292-0744
Practice Address - Fax:800-269-5493
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-01
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN60006895AOtherPHARMACY LICENSE